Arthrosis of the shoulder joint - symptoms and treatment

What it is?

Shoulder arthrosis is a long-term, constantly progressive metabolic-dystrophic disease, leading to the gradual destruction of articular cartilage, protective growth of bone tissue with deformation of the joint and loss of its function.

A wide range of arm movements is ensured by the synchronous interaction of the joints of the shoulder complex:

humeroscapular or simply humeral;
acromioclavicular - between the collarbone and the acromial process of the scapula;
sternoclavicular - between the sternum and collarbone.

The shoulder joint is very mobile, which is ensured by the convex head of the humerus and the relatively flat glenoid fossa of the scapula. The joint is strengthened by the tendons of the muscles of the upper limb, and the coracoacromial ligament is located above it. Not too reliable reinforcement allows the joint to move in different directions, but at the same time increases the risk of injury.

The code for shoulder arthrosis according to the International Classification of Diseases, 10th revision (ICD-10) is M19 (other types of arthrosis). Treatment of shoulder arthrosis should begin as early as possible. But advanced stages of the disease can also be successfully treated.

Anatomy of the clavicle joints

The clavicular joint is a joint formed by the clavicular notch and the sternal end of the clavicle. Hyaline cartilage covers the surfaces of the bones, but does not ensure a complete match in the shape of the two elements. This causes the fact that over time, movements become more difficult and sometimes even impossible.

Nature helps solve this problem in ways available to it. An intra-articular disc, located between two bones, is attached to the capsule and divides the joint into two parts, thereby eliminating bone friction and deformation.

The surface of the joint is covered with a dense capsule and is also sealed with fairly strong ligaments:

sternoclavicular;
costoclavicular;
interclavicular.

All ligaments are different in shape and function; they limit the movement of the collarbone in a certain direction.

Causes of shoulder arthrosis

The main causes of shoulder arthrosis:

consequences of acute injuries - dislocations, subluxations, intra-articular fractures, bruises;
constant long-term microtrauma associated with profession or sports activities;
suffered acute and chronic infectious-inflammatory and autoimmune processes in the shoulder joint - acute purulent arthritis, chronic rheumatoid, psoriatic and other arthritis;
against the background of a chronic inflammatory process in the periarticular tissues - glenohumeral periarthritis, leading to impaired blood circulation and nutrition of cartilage tissue;
metabolic (metabolic) joint disorders – gouty arthritis;
hormonal disorders;
congenital developmental anomalies (dysplasia) - for example, the articular surfaces of the shoulder joints.

Under the influence of any of these reasons (sometimes several at once), the composition and volume of the joint fluid that nourishes the cartilage tissue of the joint is disrupted. The cartilage gradually decreases in volume, cracks, and loses its shock-absorbing properties. This leads to bone injury, its growth along the edges of the articular surfaces, joint deformation and decreased function. In the articular cavity, inflammation of the synovial membrane periodically occurs - synovitis. Because of synovitis, arthrosis is called osteoarthrosis or osteoarthritis, depending on which process predominates (inflammatory or metabolic-dystrophic). As a result of inflammation and necrosis of the bone, small pieces of tissue are separated from it - sequestra or articular mice.

At risk:

for microtrauma - blacksmiths, miners, tennis players, weightlifters, discus throwers;
for acute injuries - gymnasts, track and field athletes, circus performers;
persons with a family history;
persons suffering from any chronic joint diseases.

Definition and anatomy of the disease

The shoulder joint consists of three parts: the clavicle, the scapula and the humerus. The part of the shoulder blade located above the shoulder is called the acromion. The joint connecting the clavicle and acromion is called the acromioclavicular joint. Mobility in this area is relatively small, but the presence of destructive processes in bone and cartilage tissue causes severe pain and inconvenience.

Arthrosis of the acromial clavicular joint is called a degenerative-dystrophic lesion, the progression of which causes destruction of cartilage tissue . As a rule, the pathology is inflammatory in nature and most often occurs as a result of the development of aging processes and external influences.

Due to the destructive effect on the joint, the function of chondrocytes (cartilage cells) is disrupted, which disrupts the production of intercellular substances that provide tissue elasticity and firmness and retain water molecules. Due to these processes, the cartilage becomes thinner and brittle, deformed and, in a neglected state, completely loses its functions.

Symptoms of arthrosis of the shoulder joint

The disease begins gradually, gradually. The rate of its progression depends on the cause, the general condition of the patient and his heredity.

First signs

The initial symptoms of arthrosis of the shoulder joint may not be noticed, especially if they occur against the background of some existing shoulder disease. These are minor pain sensations that occur periodically, mainly after exercise, and discomfort when moving the joint. Pain in the left joint can be confused with heart pain. They pass quickly, but it’s worth paying attention to them.

If such symptoms recur, it is better to consult a doctor immediately, because any disease is easier to treat in the early stages.

Obvious symptoms

The pain increases and does not go away immediately after exercise. Night pain appears, as well as pain associated with changes in weather. Movements in the hand become painful and are accompanied by a characteristic crunching sound. In the morning or when you stay in a certain position for a long time, stiffness of movement appears; in order to relieve it, you need to move. The pain syndrome can be localized not only in the shoulder area, but also radiate to the arm, neck and upper back.

The development of shoulder arthrosis gradually leads to constant pain

Periodically, the joint swells, slight redness of the skin above it appears, the pain intensifies, and it becomes permanent. Body temperature may rise slightly. This is a sign of synovitis - aseptic (without infection) inflammation of the synovial membrane. If there are foci of infection in the body (carious teeth, diseases of the ENT organs, etc.), then it can enter the joint through the blood and lymphatic vessels, causing a purulent inflammatory process. In this case, high fever, headache, and general deterioration may occur.

The combination of degenerative-dystrophic and inflammatory processes in the joint gradually leads to permanent loss of limb function and constant pain.

But even such patients can be helped, you just need to go to the clinic.

Dangerous symptoms

There are a number of symptoms of arthrosis of the shoulder joint that indicate that you need to urgently seek medical help. This:

the appearance of swelling and redness of tissue in the joint area, increased temperature;
aching pain in the joint, accompanied by a change in its shape;
joint pain radiates to the arm, neck or back;
The previous range of movements in the hand is impossible; even simply lifting it causes severe pain.

These symptoms indicate that your body needs help. Only a doctor can provide it.

Symptoms and signs of the disease

The first symptoms of clavicle arthrosis appear several years after the onset of destructive changes. They appear singly or in combination and depend on the stage of progression.

Pain syndrome

It is the first and main sign of violations. As a rule, at the initial stage it manifests itself with low intensity and only after physical exertion, it has a short-term effect. Subsequently, when the destruction progresses to arthrosis of the axes of the second degree, the pain takes on a longer period and gradually intensifies. Easily eliminated with the use of analgesics.

If left untreated, the pain syndrome gradually becomes permanent and is difficult to relieve with analgesics. In addition, the symptom occurs even when the patient is at rest.

Crunch in the shoulder

The characteristic clicking and crunching sound in the shoulder during movement is called crepitus. In normal conditions, the phenomenon does not cause any accompanying symptoms. With arthrosis, crepitus occurs simultaneously with pain and discomfort.

Why is shoulder arthrosis dangerous?

In the absence of medical care, shoulder arthrosis is dangerous due to its steady progression with the development of constant pain, decreased limb function and various, sometimes life-threatening, complications.

Degrees of arthrosis of the shoulder joint

There are three degrees of arthrosis of the shoulder joint:

Arthrosis of the shoulder joint 1st degree - the initial stage. All symptoms appear slightly and mainly after exercise. X-rays sometimes show a slight narrowing of the joint space, but more often there is none. Small abnormalities in cartilage tissue at this stage can only be detected using magnetic resonance imaging (MRI).
Arthrosis of the shoulder joint 2 degrees – a progressive stage. The shoulder hurts constantly, the pain intensifies with arm movements, radiates downwards (to the elbow, forearm, hand) or to the neck, back, under the shoulder blade. Difficulties arise with the functioning of the limb, and signs of synovitis periodically develop. On x-ray, the joint space is significantly narrowed, bone growths (osteophytes) are visible along the edges of the articular surfaces, and the bone tissue is compacted (osteosclerosis).
Arthrosis of the shoulder joint grade 3 is an advanced stage. The pain in the joint is severe, constant, with a pronounced crunch when moving the arm. The range of movement is limited, sometimes the arm is completely immobile due to pain. The joint is deformed, which sometimes leads to pinched nerves and blood vessels. On X-ray: the joint space is practically invisible, significant bone growths with joint deformation, pronounced sclerosis and necrosis of bone tissue, articular mice.

Possible complications

Any localization and form of arthrosis has serious complications, so you should not delay treatment.
See how easily the disease can be cured in 10-12 sessions.

If you do not treat the disease or treat it yourself with folk remedies, then the risk of developing complications such as:

significant deformation and limitation of joint mobility;
dislocations, subluxations and intra-articular fractures due to minor injuries or sudden movements;
ruptures of the muscle tendons and ligaments surrounding the joint - they atrophy and are easily torn;
aseptic necrosis of the head of the humerus with complete destruction of the articulation and loss of its function;
purulent-septic complications when infection enters the joint cavity from other foci.

What to do during an exacerbation

Exacerbations of the pathological process are usually associated with increased loads on the limb or with the development of inflammation - synovitis. In this case, the joint hurts more, slight swelling appears, and body temperature rises. In such cases, you should adhere to the following self-help algorithm:

call a doctor at home;
take orally a tablet of one of the painkillers (Paracetamol 500 mg, Ketorol 10 mg, Nise 100 mg);
apply anesthetic ointment (gel, cream - Diclofenac, Bystrumgel, etc.) to the skin in the area of the sore joint;
tie the sore arm with a bandage - this will reduce the load;
take an elevated position - sit down with a pillow under your back - this will reduce tissue swelling.

If shoulder arthrosis worsens, you can take painkillers

Types of shoulder arthrosis

According to different criteria, the disease is divided into separate types.

For reasons of illness

In accordance with this criterion, primary and secondary osteoarthritis are distinguished. Primary shoulder arthrosis is mainly the result of age-related changes and develops after 50 years. But sometimes the disease begins at a young age, but the cause of its onset cannot be determined. In this case, they speak of primary idiopathic arthrosis of the shoulder. Hereditary predisposition plays an important role in its development: the presence of a similar disease in one of the close relatives.

Secondary arthrosis of the shoulder joint develops after injuries and illnesses, but aggravated heredity is also important here: in one person, even a minor injury or acute arthritis can lead to the development of arthrosis, while in another, more significant injuries end without consequences.

According to the characteristics of the flow

There is deforming arthrosis of the shoulder, characterized by rapid progression of bone deformities. A feature of this type of disease is a change in the shape of the joint and frequent infringement of nearby blood vessels and nerves. Compression of blood vessels leads to impaired circulation and rapid progression of degenerative disorders, and compression of nerves leads to impaired sensitivity of the limb and severe pain along the peripheral nerves.

By origin

Post-traumatic arthrosis of the shoulder - the symptoms and treatment of this disease have their own characteristics associated with traumatic damage to certain articular structures. Metabolic-dystrophic changes occur after intra-articular fractures, dislocations, subluxations, ruptures of ligaments, tendons and simply bruises. Injuries occur from a blow to the joint or from falling on the side with the arm adducted. Rupture of the joint capsule with dislocation usually occurs when falling on an abducted arm.

Often, after a minor injury, a person does not notice the first signs of arthrosis for a long time and seeks medical help already at the second stage of the disease. Significant injuries require long-term rehabilitation treatment and arthrosis, as a rule, begins to be treated in the early stages.

Shoulder arthrosis after inflammatory diseases - the symptoms and course of this pathology depend on the underlying disease. The glenohumeral joint is often affected by psoriatic arthritis; in this case, arthrosis develops in one joint, forms slowly, but is difficult to treat. With rheumatoid arthritis, both shoulders are affected, arthrosis develops in waves with frequent alternation of metabolic-dystrophic and inflammatory processes.

By distribution

Only one left or right joint can be affected and then they speak of monoarthrosis. Simultaneous damage to two (left and right) humeroscapular joints is called oligoarthrosis.

Arthrosis of other joints of the shoulder complex

Acromioclavicular arthrosis is most often of post-traumatic origin. Develops against the backdrop of lifting weights with your arms above the horizontal. Accompanied by pain when raising the arm. When osteophytes grow on the articular surfaces, impingement syndrome may appear - pinching of the tendons and muscles of the shoulder between the head of the humerus and the acromion of the scapula during rotation and abduction of the shoulder. This accelerates the progression of arthrosis and decline in hand function.

Crunching in joints - when to worry

Intra-articular injections of hyaluronic acid

The sternoclavicular joint. Characteristic

The purpose of the joint is to connect the upper limbs with the chest by combining the bones of the clavicle and shoulder girdle with the torso. By its origin, the sternoclavicular joint is a rudiment, which is a connection of the upper or forelimbs not only in humans, but also in animals, starting with reptiles. It is very durable and is involved in hand movement, reformation. This is especially felt when raising your arms up and down. This connection allows the clavicle to move in three main axes, synchronizing with the shoulder joint, supported by a powerful and very strong ligamentous apparatus.

The disease is rare; its cause may be metastasis of infection during sepsis or infection of a closed traumatic injury to the joint.

Clinically, the disease is manifested by pain, aggravated by movement, and painful swelling. The body temperature is elevated, the pain increases gradually. The articulation area is moderately enlarged, the swelling is dense to the touch, sharply painful, with pronounced hyperemia of the skin. Attempts to move cause increased pain in the collarbone and joint. Fluctuations are not determined.

X-rays and CT scans show changes in the articular surfaces, widening of the gap, and sometimes bone destruction.

Treatment of arthrosis of the acromioclavicular, sternoclavicular and costosternal joints

Purulent sternoclavicular arthritis should be differentiated from tuberculous lesions of the articulation. Clinical manifestations in this case are expressed in an increase in articulation without pronounced skin hyperemia with moderate pain. Sometimes a cold leak forms.

The disease is long-term, of secondary origin (the primary site of infection may be the lungs, much less often other organs). Radiological signs are bone damage in the form of foci of destruction. When cultured, the pus may be sterile; with a special examination, the microbacterium tuberculosis is detected. If there are fistulas, a biopsy confirms the diagnosis of tuberculosis.

Treatment of purulent arthritis of the sternoclavicular joint is surgical. The operation is performed under local infiltration anesthesia or intravenous general anesthesia.

A vertical or arcuate skin incision passes over the sternoclavicular joint.

Incisions used for purulent arthritis of the sternoclavicular joint and osteomyelitis of the sternum:

1,2 - arthritis of the sternoclavicular joint; 3 — osteomyelitis of the manubrium and body of the sternum; 4 — osteomyelitis of the xiphoid process

The skin, subcutaneous tissue, and own pectoral fascia are dissected. With an arcuate incision, the resulting flap is separated and retracted outward. The sternoclavicular ligament is incised directly above the joint and the sternoclavicular joint is exposed. Remove pus; the cartilage lining the joint is excised with a sharp scalpel. The flap is placed and fixed along the edges with separate sutures, narrowing the wound, and a thin drainage tube is brought to the joint for instillation of antiseptics.

In chronic osteomyelitis, the sequesters are removed, the granulations are scraped out with a sharp spoon and sutures are placed on the wound. The limb is fixed with a Kuzminsky splint or a Deso bandage for 2-3 weeks.

VC. Gostishchev

An important connection between the upper limb and the chest is the sternoclavicular joint. Thanks to him, a person raises his hands up or puts his hands behind his head. Inflammation of such a joint, arthritis, dislocation due to a direct blow or a fall on outstretched elbows can cause disruption of its functions and lead to loss of a person’s ability to work.

The joint of this part of the skeleton has a saddle shape. Movements in it occur due to the movement of one bone relative to another; there is the possibility of rotating the collarbone around its axis. On the outside, the joint is covered with a dense connective tissue capsule that protects it from injury. Inside there is a connecting element - an articular disc. It regulates pressure between bone structures. It is strengthened by the anterior costal surface and the sternoclavicular ligament.

Author of the article: Vasily Shevchenko

Let me introduce myself. My name is Vasiliy. I have been working as a massage therapist and chiropractor for over 8 years. I believe that I am a professional in my field and want to help all site visitors solve their problems. All data for the site has been collected and carefully processed in order to convey all the required information in an accessible form. Before using anything described on the site, a MANDATORY consultation with your specialist is always necessary.

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Diagnostics

Without a correct diagnosis, it is impossible to treat this disease. A full examination is possible only in the clinic. At the initial consultation, the doctor questions the patient, examines him, prescribes additional research methods and consultations with specialists:

Laboratory tests of blood and joint fluid reveal inflammatory, autoimmune and degenerative-dystrophic processes.
Instrumental:
computed tomography (CT) – changes in cartilage and bone tissue in the early stages;
magnetic resonance imaging (MRI) – changes in soft articular and periarticular tissues;
diagnostic arthroscopy – performed if necessary to clarify the nature of the pathological process.

Treatment of arthrosis of the shoulder joint

After the final diagnosis is established, complex conservative treatment of shoulder arthrosis is prescribed. If conservative therapy is ineffective, surgical treatment is prescribed.

One of the effective methods of treating arthrosis of the shoulder joint is massage.

Conservative therapy

It includes medicinal and non-medicinal methods.

Drug treatment

The goals of drug treatment are to eliminate pain and suppress the progression of osteoarthritis. To alleviate the patient's condition, the following is prescribed:

Medicines from the group of non-steroidal anti-inflammatory drugs (NSAIDs) - Diclofenac, Indomethacin, Ibuprofen (Nurofen, MIG), Nimesulide (Nise), etc. The drugs are prescribed intramuscularly, orally or rectally; at the same time, drugs from the NSAID group are prescribed externally in the form of ointments, gels or creams (Voltaren emulsifier, Ketorol gel, etc.).
Medicines from the group of muscle relaxants (Mydocalm, etc.) - relax the muscles surrounding the joint; the spastic state of these muscles increases pain;
Anesthetic blockades with local anesthetics (Novocaine, Lidocaine, etc.); the medicinal solution is injected into the joint cavity or into the periarticular tissues - a quick analgesic effect.

The course of pathogenetic (affecting the mechanisms of the disease) therapy as part of the drug treatment of shoulder arthrosis includes:

Chondroprotectors are medications containing glucosamine and chondroitin, biologically active substances that restore cartilage tissue; These drugs include Teraflex, Ambene Chondro, Structum, Dona, etc. They are prescribed internally in the form of tablets and powders, in the form of intramuscular and intra-articular injections, and also externally in the form of ointments and creams.
Angioprotectors - agents that improve blood microcirculation - Pentoxifylline (Trental); prescribed in tablets for oral administration and solutions for intravenous drip.
Hyaluronic acid preparations are injected into the joint cavity to improve shock-absorbing properties and prevent bone tissue destruction.

Vitamin and mineral complexes to improve metabolic processes in articular and periarticular tissues - Complivit Chondro, Arthromivit, Kalcemin Advance, etc.

Non-drug treatment

Non-drug treatment methods for shoulder arthrosis are based on a healthy, active lifestyle and proper nutrition. It is very important to get rid of bad habits such as smoking and alcohol abuse - they contribute to poor circulation and have a toxic effect on joint tissue.

Nutrition, diet

There is no special diet for the treatment of shoulder arthrosis, but proper balanced nutrition is very important for this disease. It is recommended to include in the daily diet: sea fish, seafood, lean poultry, dairy products, cottage cheese, cheese, porridge (oatmeal, buckwheat), vegetables, fruits.

Excluded from the diet: easily digestible carbohydrates (sweets, baked goods, sweet carbonated drinks), fatty red meat, foods that irritate tissues and cause swelling - salt (excessive amounts), hot and spicy seasonings.

It is recommended to give preference to boiled, stewed and steamed dishes.

Orthopedic treatment to distribute the load on the limb

To prevent shoulder injuries, it is recommended to periodically wear an elastic protective brace in the form of a short sleeve connected to the opposite arm. The device improves blood circulation and eliminates swelling. But wearing it constantly is not recommended, as this leads to a rapid decrease in the range of motion in the shoulder.

Many specialists include taping as part of the complex treatment of shoulder arthrosis - fixation of tissues using adhesive elastic bands. This results in pain relief, improved blood circulation and joint function.

Physiotherapy

Exercise therapy - daily performance of a set of exercises - for shoulder arthrosis is the main method of rehabilitation. Gymnastics complexes are prescribed by a doctor and mastered under the supervision of a physical therapy instructor. Once the patient begins to perform the entire set of exercises correctly, they can be done at home. An approximate complex of therapeutic exercises:

Physiotherapy

Physiotherapy is included in complex therapy at any stage of the disease. These are electro- and phonophoresis using painkillers, laser and magnetic therapy - stimulation of regenerative processes in joint tissues, courses of shock wave therapy (SWT) - exposure to sound, which has a pronounced chondroprotective effect.

Chondroprotectors: what are they, how to choose, how effective are they?

Joint pain at rest

Folk remedies

Folk remedies will be of great benefit only if prescribed by a doctor. Here are some of them:

decoction of viburnum branches for oral administration; pour a glass of crushed raw material with 500 ml of water before going to bed, bring to a boil, keep on low heat for 5 minutes, leave overnight, then strain and drink 100 ml 3 times a day; pain reliever;
an old recipe for pain-relieving ointment made from the wild rosemary herb; take Vaseline or butter and dry crushed grass; In an enamel bowl, place the fat base and grass in layers in alternating layers to the very top; close the dish with a lid, coat the cracks with dough and put in the oven (preferably in a Russian oven) over low heat for 2 hours; remove from the oven, strain through double gauze, store in the refrigerator and rub into the skin over the sore joint 2 - 3 times a day.

Surgical operations

If conservative therapy for shoulder arthrosis is ineffective, the following surgical interventions are performed:

arthroscopic operations to eliminate various defects in the articular cavity; they are performed mainly on young people with post-traumatic arthrosis; arthroscopy allows you to tighten and attach the biceps tendon to the bone (tenodesis - this will eliminate joint laxity), remove bone growths - osteophytes (debridement), restore the glenoid cavity using a graft, etc.;
endoprosthetics is the replacement of a destroyed joint that has lost its functions with an artificial one.

Arthroscopic shoulder surgery

Treatment methods

When arthrosis of the acromioclavicular joint is detected, treatment is prescribed taking into account the individual characteristics of the patient, the causes of occurrence and the stage of progression of the disease. In severe cases, it is possible to use several techniques simultaneously.

Medicines

Conservative treatment is effective for the first and second degrees of progression of the disorder. In this case, the patient is prescribed complete rest and the use of groups of medications:

Anti-inflammatory and painkillers (Diclofenac, Voltaren, Ibuprofen, Aspirin, Diprospan);

Diclofenac

Voltaren

Ibuprofen

Aspirin

Diprospan
Glucocorticosteroids in case of insufficient effectiveness of anti-inflammatory drugs (Diprospan, Kenalog);
Chondroprotectors (Teraflex, Chondroitin-AKOS, Artra);

Teraflex

Chondroitin-AKOS

Artra

Antispasmodics (Baclofen, Mydocalm).

For severe pain, Cortisone injections can be used. However, the procedure has a short-term effect and is not recommended for frequent use.

Surgery

With the third degree of arthrosis, conservative treatment has little effect, so in this case surgery is most often used. For this, two types of operations are practiced:

Arthroplasty. It involves removing the acromial end of the clavicle and is performed through a small incision above the joint. After surgery, the space between the clavicle and acromion is filled with a false joint made of new scar tissue.
Endoprosthetics. During the operation, the damaged joint is completely removed and replaced with a titanium alloy prosthesis.

After the operation, the patient must wear a special immobilizing bandage for two weeks. Physical activity is contraindicated for the patient for a month and a half.

Approach to treating the disease in our clinic

Specialists at the Paramita clinic have developed their own approach to the treatment of shoulder arthrosis. First of all, each patient is carefully examined using the most modern diagnostic equipment (including MRI). Then he is completely relieved of pain using medicinal and non-medicinal methods. At the same time, individual complex therapy is selected for him, including:

the most modern medications and non-drug techniques, including plasma lifting;
traditional oriental methods of treating and restoring the function of joints and the whole body; these are acupuncture, moxotherapy, auriculotherapy, taping, etc.

This approach quickly relieves a person of pain and suppresses the progression of the disease. And regular preventive courses allow our patients to forget about the disease and lead a normal life. Numerous reviews from our patients indicate how effective this treatment is.

We combine proven techniques of the East and innovative methods of Western medicine.
Read more about our unique method of treating arthrosis

General clinical recommendations

Persons suffering from shoulder arthrosis are advised to:

lead a healthy, active lifestyle, alternating physical activity and rest;
eat properly regularly;
get rid of all bad habits;
regularly perform therapeutic exercises, avoiding sudden movements;
at night sleep on your back or on your healthy side, placing a small pillow under your sore arm;
avoid heavy physical activity, avoid injuries, prolonged stress and colds;
in case of exacerbation (development of synovitis), avoid any thermal procedures;
follow all recommendations of the attending physician.

Prevention

It is especially important for persons with a family history to follow certain rules for the prevention of shoulder arthrosis. They should not engage in weightlifting, tennis, hazardous sports, or work as hammer hammers, blacksmiths, or miners. Anyone who wants to have healthy joints should lead an active lifestyle and eat regularly.

Preventive measures

Axial arthrosis can affect the shoulder joint of a person at any age. In order to minimize the likelihood of this disease occurring, it is necessary:

Maintain moderation in physical activity;
Avoid fatty foods and red meat;
Enrich your diet with fish, dishes containing gelatin and cartilage, fresh vegetables and fruits; introduce foods rich in calcium, as well as vitamins A, B and D;
Restore normal sleep and rest patterns;
Avoid critical weight gain;
Wear orthopedic shoes, use comfortable bedding.

Frequently asked questions about the disease

What is the pain with shoulder arthrosis?

The pain is aching and worsens with movement and lifting weights.

How dangerous is the disease?

Formation of constant pain syndrome and loss of limb function.

Which doctor treats deforming arthrosis of the shoulder?

Post-traumatic - orthopedist-traumatologist, against the background of inflammatory diseases - rheumatologist.

Is a blockade done for shoulder arthrosis?

For severe pain - yes.

How effective are physiotherapeutic methods for this disease?

Effective as part of complex treatment.

Is it possible to completely cure deforming arthrosis of the shoulder?

No, but the doctor will be able to suppress its progression and relieve the patient of pain.

Shoulder arthrosis must be treated long-term, systematically and strictly under the supervision of a doctor. Attempts to cope with this disease on your own are fraught with complications and disability. But a qualified specialist can stop the process at any stage of the disease, relieve the patient of pain and significantly improve his quality of life. Contact the Moscow clinic “Paramita”, they will definitely help you here!

Literature:

Zagorodniy N.V. Intra-articular and periarticular therapy of diseases of the musculoskeletal system: Educational method. allowance. M. 2002. 48 p.
Filipenko P.V., Prokhorenko V.M., Fomenko S.M. Historical review and trends in the development of surgical treatment of chronic instability of the shoulder joint // Siberian Scientific Medical Journal, 2015, v. 35, no. 3, pp. 37-45
Bottoni CR, Franks BR, Moore JH, DeBerardino TM, Taylor DC, Arciero RA. Operative stabilization of posterior shoulder instability.// Am J Sports Med. July 2005; 33(7):996-1002.
Nelson AE, Allen KD, Golightly YM, et al. A systematic review of recommendations and guidelines for the management of osteoarthritis: The chronic osteoarthritis management initiative of the US bone and joint initiative // Semin Arthritis Rheum. 2014 Jun. No. 43(6). P. 701-12. Doi: 10.1016/j.semarthrit.2013.11.012. Epub 2013 Dec 4.

Themes

Arthrosis, Joints, Pain, Treatment without surgery Date of publication: 03.11.2021 Date of update: 03.11.2021

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Nutrition

For arthrosis of the clavicle, it is recommended to adhere to a certain diet. You should avoid spicy, salty and peppery foods. Calorie intake should be limited and you should eat small meals 5-6 times. Fatty dishes, fast food, confectionery, and sweets are excluded from the menu. The diet should include fruits, vegetables, dairy products, jellied meat, and jelly.

The patient should eat small meals